- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04016103
MY01 - An Aid for Diagnosing Acute Compartment Syndrome in Real Time
Compartment syndrome can result from extremity trauma. It can also be caused by procedural cases that involve lower or upper extremity surgery. This condition results in muscle death, chronic pain, infection, and possible amputation. Early diagnosis is essential to institute interventions that can avoid complications. Subjective pain of the patient remains the mainstay for diagnosis. A method or device is needed that would improve our accuracy in diagnosing compartment syndrome. Ideally, this would be suited for single and/or continuous pressure read-outs. The aim is to reduce the incidence of missed compartment syndrome and diminish delays that would lead to significant disability.
Despite awareness, delayed diagnosis and treatment occurs in modern orthopaedic practice. As noted in many studies, once a diagnosis has been made, immediate fasciotomy is necessary to provide the best chance for a favourable clinical result. Therefore, there is a need for improved devices in order to obtain an early and reliable diagnosis.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Cooper Jefferson
- Phone Number: 7057902959
- Email: cooper.jefferson@nxtsens.com
Study Contact Backup
- Name: Mary Amedeo
- Phone Number: 43386 (514) 934-1934
- Email: mary.amedeo@muhc.mcgill.ca
Study Locations
-
-
Quebec
-
Montreal, Quebec, Canada, H4J 1C5
- Hôpital du Sacré-Coeur de Montreal
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Montreal, Quebec, Canada, H3G 1A4
- Montreal General Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Men or women, aged 18 years of age and older
- Any tibial, foot, femoral, forearm or fracture that is felt by the surgeon to have a reasonable indication that elevated ICP could occur in the patient
- Mentally fit to provide informed consent
Exclusion Criteria:
- Patients with fractures that are not felt to be at risk of developing compartment syndrome based on serial clinical evaluation
- Infected wounds; infected fractures
- Patients who present with ACS requiring urgent surgical fasciotomy
- Patients who cannot consent to trial
- Pregnant women
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: MY01 Device
Insertion of the MY01 device for up to 24 hours for continuous monitoring of compartment pressure
|
Insertion of the MY01 device for up to 24 hours for continuous monitoring of compartment pressure
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Clinical ease with which the new compartment pressure monitor was inserted into compartment.
Time Frame: 24-48 hours following device insertion
|
At device insertion, the physician will complete a feedback questionnaire, and routine assessment will be performed in compliance with the standard of care. As part of the feedback questionnaire, the physician will be asked to indicate on a sliding scale "How certain are you the device functioned adequately?" [0 = not confident] - [10 = very confident]. The scale, administered part of a Clinical Report Form (CRF) titled 'Physician Survey', measures the physicians subjective level of certainty that the device sensor was inserted correctly within a patients muscle compartment. A record of 10 should be considered a very positive scenario, whereas a record of 0 should indicate a very negative scenario. |
24-48 hours following device insertion
|
Ability to monitor in real-time the continuous pressure read-out from the compartment in remote locations such as an I-phone.
Time Frame: 24-48 hours following device insertion
|
At device insertion, the physician will complete a feedback questionnaire, and routine assessment will be performed in compliance with the standard of care.
As part of the feedback questionnaire, the physician will be asked to indicate in a Yes or No question "Did the MY01 Application remote data display work properly?"
[Yes] or [No].
|
24-48 hours following device insertion
|
The correlation of continuous pressure read-outs (high, normal or low) with clinical indications for compartment syndrome in each patient.
Time Frame: 24-48 hours following device insertion, and again during the final follow-up of the participant approximately two weeks after treatment
|
Routine assessments will be completed by healthcare personnel as per standard of care (the 6P's [Pain, Paraesthesia, Pallor, Paralysis, Pulselessness, Poikilothermia]), and compared against the pressure readout [mmHG] indicated by MY01's MicroElectroMechanical (MEMS) pressure sensor inserted at the afflicted location.
|
24-48 hours following device insertion, and again during the final follow-up of the participant approximately two weeks after treatment
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Correlation of clinical compartment syndrome release with data from the continuous pressure monitor read-out.
Time Frame: 24-48 hours following device insertion, and again during the final follow-up of the participant approximately two weeks after treatment
|
Should surgical fasciotomy be deemed necessary to release pent up pressure in the patients muscle compartment, the continuous pressure read-outs [mmHG] derived from the device will be compared against the timeframe when the decision to conduct fasciotomy was made.
|
24-48 hours following device insertion, and again during the final follow-up of the participant approximately two weeks after treatment
|
Short-term outcomes of the patient following continuous pressure monitoring
Time Frame: 24-48 hours following device insertion.
|
Survey and tabulation of data from patient clinical findings.
|
24-48 hours following device insertion.
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Mitchell Bernstein, MD, Staff Surgeon, Orthopaedic Trauma & Limb Deformity, Montreal General Hospital | Assistant Professor Department of Surgery and Pediatric Surgery McGill University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- MY01 - QC - 01
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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